Why Does My Ankle Hurt Even Though I Didn’t Twist It?

If your ankle is aching but you’re certain you didn’t twist it or injure it, you’re not alone—and you’re not imagining things either.

Many people come into Prime Foot Clinic wondering why their ankle hurts for no clear reason. The good news? There is usually a reason, and it can often be treated.

Let’s explore some of the most common causes.

1. Overuse or Repetitive Strain

Sometimes, it’s not one big injury—but lots of small ones over time. Walking long distances, standing all day at work, or increasing your activity level suddenly (like starting a new exercise routine) can all irritate the tissues in your ankle.

You might not even notice it until you’ve been sore for days.

What it feels like: A dull ache, stiffness, or discomfort that gets worse after being on your feet for a while.

2. Tendonitis

Tendonitis happens when a tendon—like the one that runs down the side or back of your ankle—gets inflamed. This can be from overuse, poor footwear, or a foot that rolls in too much (overpronation).

What it feels like: A sharp or burning pain, especially when you move your foot in certain ways.

3. Arthritis or Joint Wear and Tear

Ankle joints can develop arthritis, especially if you’ve had injuries in the past or just from natural wear over the years.

What it feels like: Stiffness and swelling, often worse in the morning or after resting.

4. Flat Feet or Collapsed Arches

If your feet roll in too much when you walk, it can put extra stress on your ankles—even without a visible injury.

What it feels like: Aching or tired ankles, often on the inside edge, especially after walking.

5. Nerve Issues or Referred Pain

Sometimes ankle pain comes from a nerve being irritated higher up the leg, like from your lower back or inside your calf. This can feel odd—like tingling, burning, or a deep ache.

What it feels like: Pain that comes and goes or feels “electric” in nature.

So… Should I Just Wait It Out?

If your ankle pain:

• Lasts more than a few days

• Gets worse instead of better

• Makes it hard to walk or sleep

• Swells up or feels unstable

… then it’s time to get it checked by a podiatrist. You don’t have to wait until you’re limping badly. The sooner we see it, the easier it is to treat.

Let’s Get to the Bottom of It

At Prime Foot Clinic in Ramsbottom, Prestwich, and Denton, we look at how you move, what’s going on inside your joints, and how your feet might be affecting your ankles.

Whether it’s orthotics, footwear advice, gentle treatment, or hands-on care—we’ll find the cause and get you back on your feet, comfortably.

Book your appointment today and let’s stop ankle pain from holding you back.